Energized Electrical Work Permit - Utility Substation

Permit form for authorized energized work on utility substation equipment that cannot be de-energized, capturing justification, shock and arc flash analysis, PPE, controls, and required approvals.

Permit and Work Request

• Permit title
• Work order number
• Planned work date
• Substation name
• Equipment / circuit identifier
  Identify the specific energized equipment, bay, feeder, breaker, transformer, bus, or circuit involved.
• Type of work
• Work scope summary
  Briefly describe the task and the energized components involved. Do not include unnecessary PII.

Energized Work Justification

• Can the equipment be de-energized before work begins?
• Justification for energized work
  Explain why de-energization is not feasible and what operational, reliability, or safety constraints apply.
• Alternative methods reviewed
• Reason the energized risk is acceptable for this task

Shock and Arc Flash Analysis

• Nominal system voltage (kV)
  Enter the nominal voltage of the energized equipment.
• Shock approach boundary (ft or m)
  Enter the applicable shock boundary distance used for the job plan.
• Arc flash boundary (ft or m)
  Enter the arc flash boundary distance from the study or field assessment.
• Available fault current
  Enter the available fault current used for the hazard analysis.
• Protective device settings reviewed?
  Confirm the protective device settings, relay coordination, and operating condition were reviewed.
• Arc flash label verified in the field?
• Hazard analysis reference
  Optional reference to the study, drawing, or report used for this permit.

PPE and Work Controls

• Required PPE
• Arc rating of clothing (cal/cm²)
• Are insulated tools required?
• Barriers and warning signs in place?
• Additional controls
• Electrical rescue plan available?

Crew Qualifications and Pre-Job Briefing

• Qualified person in charge
• Crew size
• Pre-job briefing completed?
• Briefing topics covered
• Crew acknowledged stop-work authority?

Approvals and Authorization

• Requester name
• Requester title
• Safety review approved?
• Operations manager approval
• Electrical authority approval
• Approval comments